0001140361-12-010332.txt : 20120223 0001140361-12-010332.hdr.sgml : 20120223 20120223153459 ACCESSION NUMBER: 0001140361-12-010332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120221 FILED AS OF DATE: 20120223 DATE AS OF CHANGE: 20120223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENDRIX DANIEL T CENTRAL INDEX KEY: 0001094629 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 12633679 MAIL ADDRESS: STREET 1: 2859 PACES ROAD CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTERFACE INC CENTRAL INDEX KEY: 0000715787 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 581451243 STATE OF INCORPORATION: GA FISCAL YEAR END: 0317 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: 2Q ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC DATE OF NAME CHANGE: 19870817 4 1 doc1.xml FORM 4 X0304 4 2012-02-21 0 0000715787 INTERFACE INC IFSIA 0001094629 HENDRIX DANIEL T 2859 PACES FERRY ROAD OVERLOOK III, SUITE 2000 ATLANTA GA 30339 1 1 0 0 Chairman, President & CEO Class B Common Stock 2012-02-21 4 C 0 101625 0 D 611958 D Class A Common Stock 2012-02-21 4 C 0 101625 0 A 209285 D Class B Common Stock 2012-02-22 4 F 0 4356 12.61 D 607602 D Class B Common Stock 4444 I By 401(k) plan Conversion of a security exempted pursuant to Rule 16(b)-6b. The reporting person exchanged Class B shares for Class A shares on a one-for-one basis. A substantial number of such shares are restricted shares subject to a risk of forfeiture under certai circumstances. /s/ David B. Foshee, Attorney in Fact 2012-02-23